| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
131 |
127 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
138 |
92 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
51 |
48 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
125 |
124 |
$4K |
| 96127 |
|
12 |
12 |
$186.12 |